NPI age
20 years
Enumerated 2005-06-20
Across 5448 active family medicine providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00910093A | |
| 01 (GA) | 046281 | STATE OF GA |
Multi-provider organization. 3 individual providers on file at this primary address.
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